Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $30.90 / $34.67	Facility	26	$19.95	$30.90	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $147.91	Professional		$70.79	$95.50	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $70.79 / $144.54	Professional		$21.88	$70.79	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $107.15 / $169.82	Professional		$36.31	$107.15	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $389.05	Professional		$70.79	$131.83	$389.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $120.23	Professional	26	$19.50	$30.20	$120.23
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $117.49	Professional		$107.15	$109.65	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $177.83	Professional		$45.71	$97.72	$177.83